Maintaining quality and spurring innovation have long been central objectives of the US health care system. Like other health care professionals, physicians are challenged to minimize the likelihood of errors that could harm patients while simultaneously making efforts to understand the causes of illnesses and develop better ways to prevent, treat, and cure them.

Celebrated as one of the world's premiere luxury hotel brands, Oberoi Hotels attracts and serves some of the most quality-sensitive guests in the world. The case considers the challenge of how an organization, with a standardized service model, can repeatedly delight customers whose expectations grow with every interaction. To explore this question, the case details the design elements of Oberoi's complex service operation, including its approaches to employee management and continuous improvement, as well as the dynamics of service competition in a rapidly growing market.